Introduction : My name is Tina Carbone Nurse Practioner student,
I am interested in helping women maintain health during the perimenopausal and menopausal periods of their lives. Managing menopausal health requires a continuous effort to keep with the new medical management of menopausal symptoms and treatments designed to prevent some disabling conditions associated with menopause and aging, such as osteoporosis, cardiovascular disease, and breast cancer.
Objectives:
1. Individualizing patients treatment of menopausal symptoms: how to best treat each patient’s symptoms, and for how long?
2. Appropriate use of therapeutic options – hormonal, non-hormonal, and non-pharmacologic
3. Distinguishing hormonal-related menopausal symptoms from depression, other mood disorders, and other causes of sexual dysfunction
A 55-year-old Hispanic female who presents for her annual exam.
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Treatment: Oral combination regimen estrogens conjugated medroxyprogesterone 0.3 mg/1.5 mg to 0.625/5mg orally once daily ( Woo, 2016).
Nonprescription vaginal lubricants and moisturizers may provide some relief for vaginal dryness ( Woo, 2016).
Education :
Encourage women to exercise more maintain a healthy weight. Avoid spicy foods, alcohol, hot drinks, warm environments, and stress. Managing hot flashes, layer clothing, handheld fans drinking cold water and mist bottles. Eat a well balanced nutritious diet take supplements, and exercise 30 minutes most days of the week (Sood, 2014).
Three months follow up appointment:
Patient reports that her night sweats and hot flashes have improved slightly and her urogenital discomfort is moderate at best. An increase in the dosages of her oral combination hormone therapy, low-dose local estrogen therapy is added to her established oral regimen ( Sood, 2014).